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056-040-029
v 291 56-04-29 V, G OR) %N PADGETT W/S -BI y ckberr Rd) 3/10 mi N Crown Point Rd. Fores� Ranch ermit#25,9_ 4B....E(ngw'pr3__,.pt: 56-04-29 Con-tr-:_ uq Starr -,-,!-R ------- -§5B;P,M(convert pri gar to & add dd'ck) Per 89 56-04-29 Cont: Doug Starr/s3 Q/S _""=' Permit JL588-86B(cov decks/SF .6�-29V ' on-tr A -Do Ug'. - S' t -p fir -04A P6rmit:#1134-86B(pdd cover for existing deck/SF) O Ln cfli O � '1 •�' - rye'• � ., w � ` rJ 4 i 415S rJ 4 415S PERMIT NO. 2592-84B,E PERMIT EXPIRES ' OWNER ___ C.ORnnw PAn,F.TT . i 4 [r CONTR.. Doug Starr { ASSESSOR PARCEL 56-04-29 I +; - LOCATION W/S Blackberry Rd, 3/10 mi N,Crown Point Rd', FR . f Otis, '1✓�� �� "�I'� Z - .:,• _ O.F;FI +rx^�• �':< •rte � �.;�: K.Y+. t 111 • � Address ;t {, 1 �'+t tY�te4� • rik'fte• t.�' h 4s"i.l 4.��� � V ~'4 Fir V 'r I SAS; ^`.7a.•t ;,..; `; �,..;✓„�r.>,� - •' I- -M V Meter B u ..� � ELECTRICi S Meter,By,' Temp :'.Powe� Pole Called PG&E � f ' ,i Tenip.'Elec. Service Called PG&E �w..-1 Temp. Gas Service v Called PG&E �• ' JOB FINALED (Date) 4 f i Signature s { COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance 1, exist at the above address and should be corrected. Please notify this office wh ncorrection of work is completed. If you have any question pertaining to this m tter, or need additional explanation, please contact this office immediately. f � 7 / �� „��P ��. �„ , ,�,yr�;` � �'f✓Ai�� aj'% f tiY� � r, a�vPG% 4 �� Inspector Date COUNTY OF BUTTZ DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE � 59z -g A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when co rection of work is completed. If you have any question pertaining to this matter or need additional explanation,, please contact this office Immediately. 'fi/tt` YItiG%2 �sJt/ 111-1111 Is W, P111M.W.150 "RITIVOW, 11 W4 F ".1W W-AIIIIIIIII Inspector i�� `�� v �c Date—2 . COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive. Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE .2572-W A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector ��,/",/D/ Date OK O = Not OK = Not Applicable MOBILEHOMES s I MISCELLANEOUS = Not Ready Date 40BILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k's 1. Zoning Requirements -Setbacks -.Easements -2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists-Decking-Bracing=Stairs-Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.;-Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's" 1." Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date Date Card -B1 Date POOLS (Plans) OK except k's 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD, Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg: Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card -BI Date Card -BI Date ,Card B-1 Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date . At J OK 0 r Not,OK, ' Not Applicable RESIDENTIAL (Single and Duplex) Not Ready Date UN ERFLOOR Plans OK except #'s Date FRAMING (Continued) Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings Elec. Grnd.- / - /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection es &Decks; Soils -Steel- / /" Ftg. Depth 78te w9 s, ain; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer Stemwal Is, Garage; Steel-BIockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access -Fireplace Ftg.-Steel - 54. Glazing Area -Glass Protection -Skylights -Plastic -8. 94W.AA: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts ,9-.- m9 -Pipe; Size -Anchors Pipe; Test -Anchors -Regulator -Service Test 1 Electric; Underground Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date -- Card -BI Date _ Card -BI Date Card -BI Date Card -BI $ Date Card -BI Date Date FINAL (Plans) OK except H's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except p's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Car B ✓ D t 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card6l J Dae 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRIC/L Permit OK except q's V 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper ' 20. Fixture & Transfogmer Clearanc I 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacl S c L' & S ches at Do 70. Plb., Elec. & Mech. Equip. Listed for Location' 22. Size Boxes & o f onductors-Stapl 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed ose to Edge of Studs & C.J. 24. Equip. Ground ma up w./Mech. Fasteners -Bond Gas & Water 72- Insulation) Foam -Looked in Attic C:) Yes 73. 74. Guard Rails &Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. 77. Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82• Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except q's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric ' 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfn_g_. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing ' (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERM T NO. O � / ASSESS O RCEL NUMBERZO .� _. ING �� BUILDING PERMIT OWNER -TELEPHONE SQ. FT. OCC. BUILDING VA' TION / OWN R' MAILING ADDRESS c, CONT TOR'S NAM TELEPHONE y.7 -9,V46- _-7 CONTRA TO 5 I ING A DRESS �GJ��4 G J Fireplace CONSTRUCTION ION LE ER UNKNOWN Total Valuation $ Filing Fee Q $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ on ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Or o 0 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Q 6 BUILDING ADDRESS * fr ' !///V/ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTVRE SF ❑ Duplex❑ Mobilehome❑ Other £ P CIF Building sewer 5.00 Mobile Home S I G I W E::::F 10.00e TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation[] Other Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. I DWELLIN & OR ADDNS. % ACC. BLD 1 2�ZQS(}ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full fore. and effect. '�1' License No.4¢'3� 2 Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CON5TR ULTI.O L T 2,50 ea NON -RE BRANCH CIRC ITS NEW CONSTR ( POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. Ex. Occu 20@SOC P�o OR FIXTURES BAL®30Q FIXED A PLNS Ex. OCCUp- OUTLETS (RESID )R EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laWs.of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot 'Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, ind mnify and keep harmless the County of Butte against all liabilities, judgmen costs, and e penses which may in any way accrue against Is d County i onsequen of a granting -of this permit. /�i Date ( Signature of Ap i — Owner❑ Contractor Agent F1 An OSHA per is required for excavations over 5'6, 'Ntieep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCJ PD HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF P d By PERMIT EXPIRES Date the applicable provi- resolutions to do fees' have been paid. IC WORKS to Recei t No. P L�7/ 1 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT r QCQ7-5iDig, JOB FINALE[ Signature PERMIT NO. 588-86B PERMIT EXPIRES— XPIRES OWNER OWNER GORDON PADGETT CONTR. DOUG STARR? ASSESSOR PARCEL 56-04-29 LOCATION W/S Black Berry Rd., app 3110 mi' N Crown Point Rd., Forest Ranch r " .i E' a, x" r'. Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E a Temp. Gas Service Called PG&E jf i JOB FINALE[ Signature V =OK - O = Not OK ' = Not Applirable MOBILEHOMES MISCELLANEOUS . = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch _ Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concreteecks; Girders and/or Joi —Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) od Awn., Posts Btwrsvftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete limns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap: / /"L:'ft./ /" Nat. or/ /%"ft./ /"LPG =- n o s—Doors 7. Utility Clearance lec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Lpate l� Card -BI Date, Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date POOLS (Plans 014 except p's - 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 2. Soils; Compaction—Structure Stability 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector ' 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval Card -BI 10. Plumb; Cir. Test—Water Supply Test Date Card -BI • Date Card B-1 Date Card -BI Date Card B -I . Date Card -BI Date Card -BI Date Card -BI Date V = OK - - - = Not Applicable RESIDENTIAL (Single and Duplex) k = Not Ready Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 55. Shear Walls; Nailing -Bolts 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except k's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.;.Vent- Access -Combust ion Air 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting _ _16. 17. Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. _Shower Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ 19._ Gas Pipe; Size & Anchors 62. Stairs & Rails _ _ _ 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. 22. Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 25. 26.Subfeed 2 Appliance Circuits in Kitchen & Conductor Size Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor EJYes - _ 27 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated_ Neutral Yes ]No vi Serce-Riser Conductors & Ground -Main Disconnect 75, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes []No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 29. Equip. Clearances: Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet -- --- Card B -I Card B -I _ 30. Clothes Closet Light -Shower Light -- -- - -- - ----------- - --. Date _ Card BI _Date Date Card -BI Date 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric _ Card -BI Card -BI 31. 32. 33. 34. 35. A.C. Ducts_ Insulation & Support - - Vent Fan;_ Exhaust above Insulation _ _- _Condensate Drain & Overflow; Size & Grade Furnace -Vent: Access -Comb. Air -_Return Air Vent --1-15V outlet Attic Access & Platform if Furnace in Attic - --- - Date Card -BI _ Date _ _ Date Card -BI Date 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: 36. 37. 38. 39. 40. Sills; Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders &_F_loor Nailing Draft Stop in Walls (rat proof) Fire Stops: Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors CIng. Joist-Rftr. Ties - Purl in - Roof Brac.-Truss-Shthnq.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat Atlic Access. Size -& Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS _ 196 Memorial Way, Chico — Phone: 891-2751 .� 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. A Inspector Date V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 93965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSQR_ PARCEL N},�M R (—JJ ZON N. BUILDING PERM( OW R/(/_ V h TELEPHONE SQ. FT. OCC. BUILDING VALUATION 0111)'S MA ING A Dja SS CONT CTOR'S NA TELE H CON RANO S A" I G AO RES,S_ (��/ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSS 3 rr Permit fee $ v PLUMBING PERMIT Filing Fee 10.00 Y►'t Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP 68- Qa Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFA Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition LFUZ fX R% ode ❑ U(I ities�] Installation❑ Other F1Permit Describe work: U Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business k_ wand Professions Code and my license is in full force and effect. No.--It-32:1 No.� Classification Q ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTS.. DWELLING OCCUP.� , �22sgft NEW CONSTFL A MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS 6 1 (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 200500 eAL030 Ex. Occup. OUTLETS FIXED P(RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. • I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice pplicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood. 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. mnify and keep harmless the County of Butte against I also agree to savyes, all liabilities, j Idgcosts, and Vpenses which may in any way accrue against id Countnsequen o2ht. ra f this permit. 10FThis X Dater Signature of Ap ant — Owner Cancra xo Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPE FLOOD ARCEL PD ND_ISSUE permit is hereby issued under Bions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date .7— —2 linnheight. Receipt No.��._.L "1 WHITE-D.P.W.. YELLOW ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT i OWNER Ilk COUNTY OF BUTTE - DEPARTMENT OF.PUDLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL'; CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET 60,r)OM PPermit No. A. P. No. 9 Proposed Building Use Le>V t\ it C rN' :? ./ / Permit Fee Based Upon: Complete Contract Price r_DPW Valuation Other Mxlain Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of' $ . . . . . . . . Letter of signature authorizati U!!,!�oSanitation approval from (C Health Dept. 2 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . Pre-Insp17. Pre -Inspection for Required- Building In request to (Date) p q Building Inspector 18. Record%aft Aibke(r Acknowle ment StateMent . 19. Other onstruct bqn approval required prior to occupancy WWh ou issue the ermit proc s as follows: Mai o owner. Mail to contractor. Telephone and hold for pickup at i� office. Deliver w/inspector. Other 994-7 Applicant Date 4 -01 - Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above 6time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date Other: OCa n)/ -'/LS P4,4 U Citi ,(L-4ei Copy—DPW 89-85B,P,M r PERMIT NO. PERMIT EXPIRES 1 dU—` U llI OWNER GORDON PADGETT Douglas 'S tarr' CONTR., ASSESSOR PARCEL 56-04729 LOCATION WAS Blackberry,'Rd, 3/10 mi N Crown Point, FR Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E • r JOB FINALED (Date) ' Signature Owner •l ���'C�/%,�� �% / Permit No..c OC .S .. I , ENERGY CERT IF ICAT.ION LA-C,�V / ; Rd.. Forest Ranch, CA LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF M49terial N/A Thickness(inches) EXTERIOR WALL .Material Fiberglas Batts Thickness(inches) 6"-^ U.f'F'L/ CEILING Z - !O Fi Batt or Blanket Type Fiberglas Thickness(inches)_ 10� Looae Fill. Type ..: '.._ ::-- _•;=tt_ Minimum Thicknes$(Inches) Area covered(ft.ZZ) FLOOR, ELEVATED Material L_ Thickness(inches) -' FLOOR, SLAB Material N/A Thickness(inches) Width(inches) FOUNDATION WALL Material N/A Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name CertainTeed Thermal Resistance(R Value) .Brand Name CertainTeed Thermal Resistance(R Value)R-3 0 Brand Name CertainTeed Number of Bags`l Wt. per bag lb. Thermal Resistance(R Value) . r� _ Brand Namers, Thermal Resistance(R Value)____ Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation.was installed in the above building in conformance with the State of California Energy Requdrements. #378407 STATE CONTRACTOR'S LICENSE NO. / .> 1/22_/85 OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attacbinents' have, been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. TRACTOR'S LICENSB NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL -BE POSTED WITHIN THE BUILDING. January 1984 ' J OK 0 = Not OK = Not Applicable MOBILEHOMES - Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements + 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -.Easements 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date + Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH.Test-Demand-Valve-Connector, 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5'=Circulating Equipment -Heater B. Gas and Electricity Tagged 8. Elect; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI - Date Card -BI Date Card -BI Date r •I 4 t I V = OK AQ = N6QOK - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) �E Date UN RFLOOR Plans OK exce t#'s Date FRAING (Continued) Zoning requirements -Setbacks -Easements Property Line Firewall &Openings 2e-Ftg.,-A4eiw;-Soils-Steel-Elec. Grnd.- / /" Ftg. Depth xt. Doors -One 3' -Check Garage -3rd story, 2 exits ara ; Soils -Steel- / /" Ftg. Depth Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection V. Ftg., Porches & Decks; Soils -Steel- /I �,/" Ftg. Depth Y'lywood on Roof Overhang -Attic Vents -Rafter Outriggers 4—Sienhvel+s-+Main; Steel-Blockouts-Wrapped-Slab Siding -Nailing -Veneer 6�.ms^':s, Garage; Steel-Blockouts-Wrapped-Slab tucc 'Mesh -Drip Screed-Fdn. Vents-Underfir. Access 7. Piers -Fireplace Ftg.-Steel G ing Area -Glass Protection -Skylights -Plastic 8. U.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test he W IIs Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card-BIDate Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date Card -BI s Date Card -BI Date Date FI)4L (Plans) OK except q's Card -BI Date Card -BI Date Date PL MBING (Permit) OK except k's Ext. Steps -Door & Sidelight Protection -Landings 51. Omoke Detector Water Ht.; Vent -Access -Combustion Air Furnace; Vents -Clearance -Comb. Air -Connector - Garage; Above Floor -Ducts -Meth. Protection Water Pipe; Test & Anchors -Nail Protection 1 D.W.V.; Tegt-Fttngs & Anchors -Nail Protection Bqdroom Exiting Shower Pan; Test, First Floor -Tub Access F.I. & Bath Fixtures & Tub Access Test Tub & Shower, 2nd Floor -Tub Access lec. Trim & Subpanel; Breaker Sizes -Labels Gas Pipe; Size & Anchors Stairs & Rails Fireplace or Stove; Clearances -Hearth 64' Iec. Outlets at Wood Panel Int & Ext. Card -BI S Date 2 Card -BI Date it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date _ Elec. Outlets & Rece tacles at Kit. Counter Date E CTRICAL Permit OK except q's Garage Fire Door, wing -Lan` ing-C .C. Duct in Gara a -Dam er Fixture &Transformer Clearance -Ins. Protection Agr Wtr, Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- /fn Garage; Above Floor-Mech. Protection Elec. Receptacles Spacing -Lights & Switches at Doors ze Boxes & No. of Conductors -Stapled Ib., Elec. & Mech. Equip. Listed for Location . Romex Installed Close to Edg of Studs & C.J. 94 Iec. Receptacles in Garage; (G.F.I.)-5emex Protec. 2nsuEquip. Ground made up w/ h.'Fasteners-Bond Gas M lat ion -Foam- Looked in Attic es uarRails & Deck Construction -Post Caps 2 Appliance Circuits in Kitchen &Conductor Size Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI V. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looke or El Yes Range Circ. / / ga. or AI -Oven Circ. / / ga. Cu or AI, �p Insulated NeutFal ❑ es ❑No Following in )Ye Driv F1 Yes o; Walks ❑ Yes o; Planters E) Yes No Service -Riser Conductors & Ground -Main Disconnect own -Finish V. Equip. Clearances; Panels-Motors-Mech. Equip. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Clothes Closet Light-ShgyOer Light . Vents Above Roof; Plbg.-Appliance-Fir pl.-Clearance to Opngs. ater Well; Disconnect, Electrical I ing xterior Elec. Trim; G.F.I. Receptacle- nderground Card B -I _Z/1 4 Datef Card -BI Date entilation throughout House Card B -I Date Date Card -BI Date ME HANICAL (Permit) OK except q's lass Protection Corrections from Previous Inspections -Meters Tagged; Gas -Electric A.C. Ducts; Insulation & Support ater & Sewer Connected -C/O to Grade -HD Approval Went Fan; Exhaust above Insulation nergy Compliance Certificate -Other Certificates V. Condensate Drain & Overflow; Size & Grade Ur/Furnace-Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FR ING Plans OK except q's Comments at Final: Sills; Proper Material & Anchors Wal ; Studs -Nailing, Spacing & Bracing -Plates -Sound aring walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 4 Fire Stops; Furred Ceilin -St"' - hases-Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Ing. Joist-Rftr. Ties - Purl in - Roof_Brac. s hthng_.-Rfn_g_. WzFireplace Ties or Type A Flue -Fireplace Thr t /Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles V. Bdrm. Windows or Exiting Doors -Sill HgL,& Dimensions 7 Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) rd - (NOTE: Anentrymust /, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS `., 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSO RC NU BER ,— ZONI G BUILDING PERMIT OWN TE LEPHONE SQ. FT. OCC. BUILDING VA N OWNE AILING ADDREI- 1%r, oCi CO RAC OR'S NA E LE HONE CON CTO AILING kDDRESS 1 S'� C_ -J4,1 eA Fireplace " 1' CONSTRUCTION LENDE4R UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 0 ARCHITECT ORAENGINEER LICENSE NO. Plan Checking Fee $ 0^0 Penalty ,01 $ X110 ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADD ESS r PLUMBING PERMIT Filing Fee 10.00 I ki Each Trap 2.00 0 Solar Water Heater 20.00 W,UD Water piping 5.00 LOT NO. �— SUBDIVISION NAMEPARCEL MAP —c Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 ^ USE OF STRU URE(�; SF ❑ Duplex❑ Mobilehome❑ Other�r) ` ° SPECIFY Building sewer 5.00 i' Mobile Home I S I G I W I 10.00e TYPE OF WORK New ❑ Additio ❑ Remod I ❑ Ut' 'ties ❑ stallation Othe Describe work: J 5 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS 100 AMP OR LESS 10.00 Se Main service EA. AOD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2/20Sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full face and effect. � Q r� License No. Q�y' Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW NON-REs, D R. BRANCH CIRCU, TS 2.50 ea NEW NON -RESCONISTR D. SINGLE OUTLET CIRPOWER APPARATUS & . Ex. Occu 20= PCO OR FIXTURES BA FIXED FIXED APPLNS. OR A Ex. Occup. OUTLETS (RESID.) EA.) 2 0 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Ito Cooling Hood 3.00 Ventilation Permit Fee $ r0 Contractor - I certify that I have read this application and state that the above information is correct. I agree, to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against liabilities, judgment costs, and expenses which may in any way accrue against sat County in P xYnsequegeyof the granting of this permit. X Date I/ Signature of Applic t — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0 ' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Z©,Q TOTAL PE MI FEE $ 'o n OCCUP. GROUP �?j T.YPE ^TUrN QF CONST. PARCE PD ND, V 'Vall This permit is hereby issued under sions of the Butte County Code and/or. work indicated above for which DIR TOR OF ELIC By PERMIT EXPIRES Date the applicable to do resolutions to do fees have been paid. WORKS r Date "� �- Receipt No. 9 f3 g 1Ccc�1 f)/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .. .. .. .. .......r1w...ly .i`_..„^.ry.... ..n w-...N...w.� � '/ i�.�i 1✓ ley. ... ..... w..rTw. .. • d1 .7 85m 2284 ` Return to DPW AGRICULTURAL STATEMENT OF ACIQdOWLEDGEMENP ly FOR RESIDENTIAL DEVELOPMENT UV -M WUNTyaf,;t•.;. Pan'(. Section 26-8.i of the Buttg County Code requires this acknowledgement `.; >`• bm�, recorded prior to issuance building of a g pesmit. ?' The property described herein is adjacent to land or included- � � E IRK t� F,*r u; t 11 L l3 w bin an area zoned for agricultural*purposea, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to bs:¢bieidea, pesticides, and fertilisers; and from the pursuit of agricultural operat$Am .twludiago but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive igrieultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. , All that real property situate in the County of Butte, State of California,. described as follows: t I Data Gordon B. Padgett PROPERTY OWNERS: State of California ) On this the day of Janna v , 19 85. Butte 88. before me, the undersigned Notary Public, personally County of ) appeared Gordon .B. Padgett, g proved to me on the basis of satisfactory evidence OFFICIAL SEAL 7 known to me to be the person( s) whose nams) i L. M,C- CAtIFdRN1A � •..• Y NOTARY PUBLIC tA= subscribed to the within instrument and acknowledged "M P Z� COUNTY OF CUTiF that he executed the same for the purposes Comm. Erp. Sept. 23, 1985 therein contained.-. 11111111nu111umooua�u�eo�F�e�ue�unu�uu,,,� IN WITNESS WHEREOF, I hereunto set my hand and' official seal. Notary Public DESCRIPTION: All that certain real property situate in the County of Butte, State of California, described as.follows: A portion of the Southeast quarter of the Northeast quarter of Section 24, Township 23 North, Range 2 East, M.D.B. & M.; described as follows: Parcel 2, as shown on that certain Parcel Map recorded in the office of the Recorder of the County of Butte, State of California, on November 27, 19780 in Book 68 of Parcel Maps, at Page 90. TOGETHER WITH a 60.00 foot road right of way in Sections 24 and 25, Township 23 North, Range 2 East, M.D.B. & M., and in Sections 19 and 20, Township 23 North, Range 3 East, M.D.B. & M., lying 30.00 feet on each side of the following described centerlines:' BEGINNING at a point in the North line.of said Section 25, said point of beginning being South 88° 45' 22" West 872.17 feet from the Northeast corner of said Section 25; thence from said point of beginning North 460 16' 42" East 227.63 feet to th� beginning of a 110.00 foot radius curve concave to the Southeast; thence along the arc of said curve through a central angle of 740 46' 36" an arc distance of"143.56 feet; thence North 690 35' 40" East 99.25 feet to the beginning of a 100.00 foot radius curve concave to the Northwest; thence along the arc of said curve through a central angle of 370 40' 57" an arc distance of 65.77 feet; thence North 310 54' 43" East 404.55 feet to Point "A" and the end of said line. ALSO'TOGETHER WITH a 60 foot road right of way in Sect ons 24 and 25, Township 23 North, Range 2 East, M.D.B. & M., and in Sections 19 and 20, Township 23 North, Range 3 East, M.D.B. & M., lying 30`,feet on each side of the following described centerlines: BEGINNING at a point in the North line of said Section 25, said point of beginning being South,880 45' 22" West 872.17 feet from the Northeast corner of said Section 25; thence from said point of beginning South 46° 16' 42" East 33.40 feet to the beginning of a 300.00 foot radius curve concave to the Northwest; thence along the arc of said curve through a central angle of 29' 07' 04" an arc distance of 152.46 feet; thence South 75' 23' 46" West, 39.36 feet to the beginning of a 200.00 foot radius curve concave to the Southeast; thence along the arc of said curve, through a central angle of 190 54' 3011, an arc distance of 69.49 feet; thence South 550 29' 16" West, 166.49 feet to the beginning of a 500.00 foot radius curve concave to the Northwest; thence along the arc of said curve, through a central angle of 210 39' 5311, an arc distance of 189.06 feet; thence South 770 09' 09" West, 137.35 feet to the beginning of a 100.00 foot radius curve concave to the Southeast; thence along the arc of said curve, through a central angle of 50° 44' 37", an arc distance -of 88.56 feet; thence South 260 24' 32" West, 111.02 feet to the beginning of a 100.00 foot radius curve concave to the Northwest; thence along the arc of said curve, through a central angle of 1130 23' 0111, an arc distance of 197.89 feet; thence North 400 '12' 27" West, 168.76 feet, to the beginning of a 200.00 foot radius curve concave to the Northeast; thence along the arc of said curve, through a central angle of 390 08' 19", an arc distance of 136.39 feet; thence North 10 08' 08" West, 151.97 feet to the beginning of a 200.00 foot radius curve concave to the Southeast; thence along the arc of said curve, (continued) !DESCRIPTION: (continued) .:through a central angle of 270 17' 10" an arc distance of 95.25 feet; thence North 26° 09' 02" East, 218.15 feet, to the beginning of a 25.00 • foot radius curve concave to the Southwest; thence along the arc of said curve, through a central angle of 1460 15' 02", an arc distance of 63.81 feet; thence South 59° 54' 00" West, 107.21 feet, to the beginning of a 200.00 foot radius curve concave to the Northwest; thence along the arc of said curve, through a central angle of 30° 56' 00", an arc distance of ;.107.98 feet; thence North 890 10' 00" West 238.31 feet to the beginning .of a 60.00 foot radius curve concave to the Northeast; thence along the arc of said curve, through a central angle of 1510 10' 2511, an arc distance of 158.31 feet; thence North 620 00' 25" East 185.98 feet to the beginning of a 200.00 foot radius curve concave to the Northwest; thence along the arc of said curve, through a central angle of 28° 54' 4511, an are distance of 100.92 feet; thence North 33° 05' 40" East, 108.17 feet, to the beginning of a 300.00 foot radius curve concave to the Southeast; thence along the arc of said curve, through a central angle of 60° 06' 5311, an arc distance of 314.76 feet, to the beginning of a 175.00 foot radius curve concave to the'Northwest; thence along the arc of said curve, through a central angle of 390 10' 2311, an arc distancq of 119.65 feet -to the beginning of a 50.00 foot radius curve concave to the Northwest; thence along the arc of said curve, through a central angle of 930 25' 36" an arc distance of 81.53 feet; thence North 450 48' 32" West, 67.34 feet, to the beginning of a 100.00 foot radius curve concave to the Southwest; thence along the arc of said curve, through a central angle of 33° 26' 58" an arc distance of 58.29 feet; thence North 790 15' 30" West, 262.41 feet, to -Crown Point Road. ALSO TOGETHER WITH a 60.00 foot road right of way in Sections 24 and 25, Township 23 North, Range 2 East, M.D.B. & M., and Sections 19 and 20, Township 23 North, Range 3 East, M.D.B. & M., lying 30.00 feet on each side of the following described centerlines: BEGINNING at the aforesaid Point "A", thence North 15° 46' 23" West 196.911 feet to the beginning of a 200.00 foot radius curve concave to the South- east; thence along the arc of said curve through a central angle of 310 55' 48" an arc distance of 111.46 feet; thence North 160 09' 25" East 91.99 feet to the beginning of a 100.00 foot radius curve concave to the South- west; thence along the arc of said curve through a central angle of 330 34' 30" an arc distance of 58.60 feet; thence North 170 25' 05" West 444.36 feet to the beginning of a 300.00 foot radius curve concave to the South- west; thence along the arc of said curve through a central angle of 220 36' 47" an arc distance of 118.40 feet; thence North 400 O1' 52" West 92.16 feet to the beginning of a 100.00 foot radius curve concave to the South- east; ,thence along the arc of said curve through a central angle of 76° 07' 50" an arc distance of 132.87 feet to the beginning of a 100.00 foot radius curve concave to the Northwest; thence along the arc of said curve through a central angle of 580 54' 0911, an arc distance of 102.80 feet; thence North 220 48' 11" West 287.50 feet to the beginning of a 300.00 foot radius curve concave to the Northeast; thence along the arc of said curve through a central angle of 150 11' 5111, an arc distance of 79.57 feet; thence North 70 36' 20" West 428.63 feet to the beginning of a 100 foot radius curve concave to the Southeast; thence along the arc of said curve through a central angle of 96° 40' 2711, an arc distance of 168.73 feet to the beginning of a 150.00 foot radius curve concave to the Northwest; thence along the arc of said curve through a central angle of 430 21' 32", an arc distance of 113.51 feet, more or less, to a point in the North line of the Southeast quarter of said Section 24. (continued) r ,:DESCRIPTION: (continued) `.ALSO TOGETHER WITH a 60 foot non-exclusive easement for road purposes and public utilities, also reserving to.Pacific Gas and Electric and Pacific Telephone and Telegraph for service to the general public the right from time to time to install, maintain, operate and use such gas and electric facilities both above ground and underground as itsmay'deem' necessary over, under, along and within. the strip of land jas shown o'n. said P.ercel Map. I 4 k �E, s 4 OWNER 4�M'0%L.VOYL) P /4bGi - RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPT.EX, X. MISC. ONLY) �Q Bldg. Permit # 407- 82m- A.P. #��®�,: A. GENERAL Zoning requirements (sideyards and parking). i,.""Valuation. 3. Signature by R.C.E. or Architect (if required). B. PLOT PLAN omplete parcel size and dimensions. Setback?, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. C. FLOOR PLAN `-Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). �." equired windows for second exit (Sec. 1404). jAllowable glazing for energy requirements (20% max.•per.State law). r� �an impact glass (Sec. 5406). 6! Required room sizes, ceiling heights (Sec. 1407). G.F.C.-I.'s in baths and exterior outlets (Sec. 210-8). &Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. 9� Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. - IQ. Garage firewall, door size, and closer (Sec. 503(d)(4)). 1_ 1 - 3'0" exterior exit door (Sec. 3303d). 1�. Fireplace location. 1 Smoke detectors'(Sec. 1413). D: STRUCTURAL DETAILS oundation:plan complete enough to construct building. Floor construction details complete enough to construct building.. Elevations and wall construction details complete enough -to construct building. Roof construction details complete enough to construct building. S. --Fireplace construction details and calcs if over one-story in height. 6. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS 1TEMS TO LOOK OUT FOR A! CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). 3�Guardrail details (Sec. 1716). t�Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706 & 4708). 6-! Proper roof pitch for roof covering (Chapter 32). ?_?—Rafter.ties or bearing ridge beam. Garage door or porch header sizes. 9. dequate bracing. 1 Living area over garage - complete 1 -hour separation required including supporting walls and post's, etc. 1�Two (2) exits on three-story dwellings (Sec. 3302). m 588-86 13 PERMIT NO. 1114-86B PERMIT EXPIRES OWNER GORDON PADGETT CONTR, Doug Starr ASSESSOR PARCEL 56-04-29 LOCATION W/S Blackberry Rd, 3/10 mi N K Crown Point Road, Forest Ranch Temp. Power Pole Called PG&E _ Temp. Elec. Service r Called PG&E f' } Temp. Gas Service Called PG&E f JOB FINALED (Date) Signature J = OK O = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except it's Date DEC S, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements oning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch _ . F otings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) . Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing , 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG wn.; Columns—Connections—Splice—Decal—Enclosures arports; Windows—Doors. 7. Utility Clearance Elea Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK except H's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghig. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card 131 Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date r�� J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -Blackouts -Wrapped -Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground _ 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting _ 17 Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _ - 18. 19. _Shower Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -B1 Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL(Permit) OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. 22. Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Ramex Installed Close to Edge of Studs & C.J. _ - - - 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic ❑Yes73. Guard Rails & Deck Construction -Post Caps 25. 26. 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. 75. Fdn. Vents & Crawl 'sole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following instld.: Drive Yes No; Walks g ❑ ❑ ❑ Yes [:]No; Planters ❑Yes ❑No 27 _ 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral '--Yes :1 No Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances: Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - ----- Card B -I Card B -I 30. Clothes Closet Light -Shower Light -- --- - -- - - - -- - ---- ----- - - Date _ Card -BI Date Date Card -BI Date 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric _ - Card -BI Card -BI 31. 32. 33. 34. 35. A.C. Ducts_ Insulation & Support Vent Fan: Exhaust above Insulation _ _ Condensate Drain & Overflow; Size & Grade Furnace -Vent Access -Comb. Air -Return Air Vent -_7_15V outlet Attic Access & Platform if Furnace in Attic ----- -- -- -- -- - Date Card -BI Date Date Card -BI Date 85. Water & Sewer Connected -C/0 to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Card -BI rate Card -BI Date Date Card -BI Date Date FRAMING(Plans) OK except N's 3_6. Sills; Proper Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof)_ 40. Fire_Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. -44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hg_ t. & Dimensions 47. Garage Fire Protection Framing Comments at Final: _ (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ANCITERMIT PET N0. ASSES OR PARC L NU B R ZONI BUILDING PERMIT ow R y^ 44 1A) Ova TELEP ONE SQ. FT. OCC'./ BUILDING VALUATION v 7600 OW AI LI G ADD S$/ CO ACTOR S N '^ I P NE CO CT 'S MAI NG ADDRESS_ Fireplace C NSTR CTION L ND R / UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS . Permit Fee $ .1113-0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ` O Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING A/AD RE 0 nZ? W Permit fee $ PLUMBING PERMIT Filing Fee 10.00 3 Each Trap 2.00 Fzg Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL AP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets _ 5.00 Building sewer 5.00 Mobile Home Is G W 0.00 ea rrrttt��� TYPE OF WORK New ❑ AdditionEX Rem del ❑ Utilities Installs on❑ ther ❑ Describe work: / tr — Permit Fee $ " Contractor .: ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the BUsineSS and Professions Code and my license is in full force and effect. .- r� C/ License No. Classification 2 I ❑ I, as the owner, or my employees,with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.. OR ..DNS. \ ACC. BLDGS. / '/z2sgft NEW CONSTR. M ULTI.OUTLET NON-RESID BRANCH CIRCUITS) 2,50 ea POWER APPARATUS e' SINGLE OUTLET CIR. EX. Occup OUTLETS OR FIXTURES .200020®gOQ 30 FIXED APPLNS. OR EX. OCCUp. OUTLETS IRESIO.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to pplIcant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith'comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, ind nify and keep harmless the County of Butte against all liabiliti judgmen costs, an expenses which may in any way accrue against s 'd County i ons ing of this permit. X Date` S Signature of Appl ant - Owner ❑ . Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ � TOTAL PERMIT FEE $ S OCCUP, CONST.L—YP-E-7 crY� FLOOD P CEL D NO ISSUE It This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC BY PEOT' EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date '_ Receipt No. 129 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT J COUATY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL5rg--CAACIFORNIA 95965 - TELEPHONE: 916%534=4541 PERMIT APPLICATION DATA SHEET JI Permit No. OWNER Go K © � 4c( A. P. No. Proposed Building Use 2•L De C Permit Fee Based Upon: Complete Contract Price DPW Valua ion Other (Explain) _ Building Inspector Date s r At time of per it application, I was advised the following data must be submitted prior to permit processing and/or IS nce: DATE RECEIVED APPROVED . All items have been submitted. . . . . . . . . . 2.. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . 17. Pre -Inspection for Required.Pre-Inspec. request to (Dote) pBuilding Inspector 18. Recon �g%_pf,�yt Eal Ajknowled�gment Statment. 19. Other , ons ructio approvalrequired prior to occupancy When you issue the per it, i 3 _ roces as follows: Mail/owner. Mail to contractor. Telephone 9- and hold for pickup at office. Deliver w/inspector Other t Appl ica� Date -5:n? -1Z Copy of plans sent Health Dept., Fire Dept., cher Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone,` Mail Other By ' Date Plans checked by Date Plans approved by / Date e— Other Copy—DPW NOTE:—All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices anJ of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. This set of plans and specifications MUST be kept on the job at all times and it is unlawful +o make any changes or alterations on some without written permission from the Department of Public Works, County of Butte. A setback of 5 ft. from the property lines and a setback of 50ft. from the goad centerline shall be clear of structures or equipment except for a 2 ft. eave ovg rig. 4--o'`irIZd AI ox, Pirovide adequate bracing Qosr ai'PRdm A�#4', I T Jh� I:kIsriNG v, IAF c ry .4 Gov N a,,,o($ - 4Y E -0—1 NG rj ECS rxref/w L �X�ST/NG Nia '4Pl, I .r r,l I I i i � I r 4 e r vi � r r.